| |
763 N Broadway, Milwaukee, WI 53202 | |
(608) 333-3848 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 763 N Broadway, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1851899470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13653-24 (Wisconsin) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1108 N Milwaukee St Unit 211, Milwaukee, WI 53202-3153 Ph: (608) 695-1020 | 763 N Broadway, Milwaukee, WI 53202 Ph: (608) 333-3848 |